Anti-inflammatory effect of oleuropein in experimental rat spinal cord trauma.

BACKGROUND
Spinal cord injury stimulates an inflammatory reaction that causes substantial secondary damage inside the injured spinal tissue. The purpose of this study was to determine the anti-inflammatory effect of oleuropein on traumatized spinal cord.


METHODS
Rats were randomly divided into four groups of 7 rats each as follows: Sham-operated group, trauma group, and oleuropein treatment groups (20 mg/kg, ip, immediately and 1 hour after spinal cord injury). Spinal cord samples were taken 24 hours after injury and studied for immunohistochemistry of tumor necrosis factor-α (TNF-α), interleukin-1ß (IL-1ß), nitrotyrosine, inducible nitricoxide synthase (iNOS), cyclooxygenase-2 (COX-2), and poly(ADP-ribose) polymerase (PARP).


RESULTS
Attenuated TNF-α, IL-1ß, nitrotyrosine, iNOS, COX-2, and PARP expression could be detected in the oleuropein-treated rats.


CONCLUSION
Oleuropein modulates inflammatory reactions following spinal cord injury.


Introduction
Neurological damages after traumatic spinal cord injury result from both primary mechanical injury and secondary degeneration process. Outcome of spinal cord injury depends on the extent of secondary damage mediated by a series of cellular, molecular and biochemical cascades, including calcium ion influx, oxygen free radical-induced lipid peroxidation, inflammatory reaction, autoimmune response, vascular events, and apoptosis. 1-3 In recent years, much attentions have been focused on secondary injury because it appears to be susceptible to therapeutic interventions that may include using of free radical scavengers and anti-inflammatory agents. Olive oil is a rich source of phenolic components such as oleuropein, which has many beneficial health effects in human. 4 On the other hand, hydrolysis of oleuropein results in the formation of other phenolicis, including hydroxytyrosol and tyrosol. 5 Experimental studies attributed the beneficial effects of oleuropein and its derivatives such as hydroxytyrosole, to a variety of biological activities, including free radical scavenging/antioxidant, anti-inflammatory, anti-carcinogenic, anti-microbial, anti-atherogenic, and antiviral properties. 6-8 Some studies documented that oleuropein elicits anti-inflammatory effects by lypoxygenase activity and the production of leukotriene B 4 , 9 inhibiting biosynthesis of pro-inflammatory cytokines 10,11 or modulating inflammatory parameters. 12 Olive oil phenols have been shown to have some of protective effects against brain hypoxia-reoxigenation, 13,14 cerebral ischemia, 15,16 brain damage after hypoxiareoxygenation in diabetic rats, 17 and ageing. 18 Although the exact neuroprotective mechanism of olive oil phenols is unclear, the antioxidative and antiinflammatory effects of these phenols are considered to be the main mechanisms leading to this neuroprotective effect.
In the present study, we investigated the potential anti-inflammatory effect of oleuropien immunohistochemically in rat as an experimental model of spinal cord trauma.

Materials and Methods
Male adult Spargue-Dawley rats were used (250-300 g, Pasteur‫׳‬s Institute, Tehran, Iran) in this study. They were kept under standard conditions according to the guidelines of the university‫׳‬s animal care codes to minimize the animal‫׳‬s suffering. The study protocol was approved by the Research and Ethics Committee of Lorestan University of Medical Sciences.
Contusive spinal cord injury was carried out using the weigh dropping technique. The animals were anesthetized with ketamine (75 mg/kg, ip) and xylazine (10 mg/kg, ip). Laminectomy was performed at T9 level vertebra; the dorsal surface of the cord was then subjected to weight drop impact using a 10g weight dropped from a height of 2.5 cm in order to produce contusive spinal cord injury. Following the surgery, the recovery of the animals was assisted by administering lactated ringer‫׳‬s solution (12-25 ml) subcutaneously immediately after surgery and cefazolin (50 µg/kg, Jaber Ibn Hayan, Tehran, Iran) which was administered twice daily for 3 days. The urinary bladder was pressed three times a day until the function was retained.
The rats were randomly allocated into four groups, each containing 7 rats: (i) sham-operated group, which underwent laminectomy alone; (ii) trauma group, which underwent laminectomy followed by spinal cord injury and received saline (vehicle); (iii and iv) OE treatment groups, which underwent laminectomy followed by spinal cord injury and received a 20-mg/kg single dose of oleuropien (purchased from Sigma-Aldrich) intraperiteonally immediately (oleuropien 1) and 1 hour (oleuropien 2) after trauma, respectively.

Discussion
Secondary auto-destructive processes of spinal cord injury have a highly debilitating pathology, considered to be a number of interrelated processes. Injury to the spinal cord provokes a local inflammatory response which amplifies the secondary damage. The inflammatory response involves non-cellular and cellular components. It is well documented that the potent pro-inflammatory cytokines, including tumor necrosis factor alpha (TNF-α) and interleukin-1 beta (IL-1β), which are synthesized immediately after injury, playing detrimental roles in post-traumatic injury associated with spinal cord injury. 20 TNF-α and IL-1β are involved in a wide range of events, including vascular permeability, 21 recruitment of inflammatory cells, 22 induction of inducible nitric oxide synthase (iNOS) 23 and cyclooxigenase-2 (COX-2) 24 in the injury site. In this regard, it has been well demonstrated that the blocking of TNF-α or IL-1β confers neuroprotection and improves functional recovery following experimental spinal cord injury. 25 On the other hand, TNF-α and IL-1β play a central role in the induction of iNOS. 21 iNOs is a one of the three distinct enzymes that produces nitric oxide (NO), a free radical gas molecule which is known to have a crucial role in the development of the secondary inflammatory response and apoptosis following traumatic spinal cord injury. 26 In this regard, some studies have clearly demonstrated that attenuation of iNOS expression is secondary to a reduced formation of endogenous TNF-α and IL-1β. 25 Similar to iNOS, the expression of COX-2, a enzyme which is involved in the generation of some inflammatory mediators, is also mediated by TNF-α and IL-1β. 24 Cyclooxygenase inhibitors can improve functional outcome after spi-nal cord contusion. 27 In this study, we demonstrated that oleuropein treatment attenuated significantly expression of TNF-α and IL-1β, and consequently expression of iNOS and COX-2. Although the most famous and widely renowned properties of olive phenolics have long been attributed to the antioxidant and free radical scavenging effects, 6 however, emerging evidences have shown the anti-inflammatory effects of these phenolics. 8, 28,29 It has been well established that olive phenolics inhibit iNOS activity or the inflammatory mediators that stimulate this enzyme following brain hypoxia-reoxygenation. 13 Olive oil phenolic compounds decrease the circulating concentrations of IL-6, 30 a pro-inflammatory agent that stimulates inflammation in response to trauma. Another study has also shown that the olive oil phenolic compounds inhibit COX-2 activity. 31 Impellizzeri et al.,11 reported that administration of oleuropein in a mouse model of carrageenan-induced pleurisy, caused a significant reduction of TNF-α, IL-1β and NO.
Peroxynitrite, a cytotoxic molecule produced in the spinal cord tissue following trauma, contributes to the post-traumatic inflammatory reaction including tyrosine nitration and lipid peroxidation, 32 and also cause DNA damage resulting in the activation of poly (ADP-ribose) polymerase (PARP). 33 On the other hand, over-activation of PARP, a nuclear enzyme which is activated by strand break in DNA, results in depletion of NAD and ATP and ultimately cell death. 34 It has been clearly demonstrated that spinal cord injury induced PARP activation, and treatment with PARP inhibitors significantly reduced the development of inflammation and apoptosis in the traumatized tissue. 35 In present study, we demonstrated that oleuropein treatment attenuated significantly expression of PARP and nitrotyrosine. In this regard, some investigations have shown that olive oil polyphenols significantly reduced peroxynitrite formation. 36 Another study documented that administration of oleuropein attenuates nitrotyrosine and PARP. 11 Finally, our results showed that administration of oleuropein immediately and 1 hour after spinal cord injury, significantly attenuated inflammatory responses.